Individual
MICHAEL A. RUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACSW, LCSW
Contact information
Practice address
4500 WEST PINE, ST. LOUIS, MO 63108-2186
(314) 352-7802
(314) 352-7802
Mailing address
5625 GOETHE, ST. LOUIS, MO 63109-3251
(314) 352-7802
(314) 352-7802
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000255
MO
Other
Enumeration date
09/06/2006
Last updated
07/09/2007
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